NEW SUPPLIER INTEREST FORM NEW SUPPLIER INTEREST FORM ATTENTION Department: Date: Company Name: Address: City: State: Zip: Telephone#: FAX: Contact Information Name: Address: City: State: Zip: Telephone#: FAX: Certifications Does your company hold any certification to a safety or quality standards? Yes No Please specify: Comments Comments on how working with your company will benefit Pries. Submit Thank you for submitting information on wanting to be a vendor. Please do not contact us, we will contact you Date Submitted: